| Code | Description | Claims | Bene. Records | Total Paid |
| T2046 |
Hospice long term care, room and board only; per diem |
64 |
46 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
645 |
595 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
390 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
49 |
$4K |
| 96127 |
|
202 |
195 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
132 |
112 |
$618.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$172.88 |